论文部分内容阅读
目的探讨在基层医院建立急性心肌梗死(AMI)救治手机微信群,开展AMI快速诊断及转诊急救模式对改善AMI患者预后的作用。方法建立覆盖江阴市急诊及内科医师的手机微信群,遇有疑似AMI患者时,第一时间上传相关资料,由具备24h开展急诊经皮冠状动脉介入治疗的江阴市人民医院心内科AMI救治组在第一时间对上传资料进行会诊分析,明确AMI的诊断及再灌注方案,将救治方案告知首诊医师。选取建立微信群后急性ST段抬高心肌梗死(STEMI)患者453例(A组),建立微信群前STEMI患者210例(B组);观察两组患者心肌肌钙蛋白I(cTnI)达峰值时间、再灌注方式、就诊-球囊扩张时间、患者住院期间心血管事件发生率。结果 A组cTnI达峰值时间、患者转诊及就诊-球囊扩张时间短,早期再灌注率高,与B组比较,差异有统计学意义(P<0.05)。A组患者住院期间心血管事件发生率低于B组(11.9%vs.17.6%)(P<0.05)。结论利用手机微信群,建立区域性的AMI急救网络,能够快速诊断及救治AMI,优化AMI急救流程,缩短首诊-球囊扩张时间,改善患者预后。
Objective To investigate the effect of establishing acute myocardial infarction (AMI) on the mobile phone micro-channel group in primary hospitals and carrying out rapid AMI diagnosis and referral and first aid mode to improve the prognosis of patients with AMI. Methods The micro-channel of mobile phone covering emergency and physicians in Jiangyin City was established. In the case of suspected AMI patients, the relevant data were uploaded for the first time. The patients in Jiangyin People’s Hospital with AMI treatment group who had emergency percutaneous coronary intervention The first time to upload information for consultation analysis, a clear AMI diagnosis and reperfusion program, the treatment program to inform the first physician. 453 patients with Acute ST-segment elevation myocardial infarction (STEMI) after establishing WeC group and 210 patients with pre-WeCEM Group STEMI (Group B) were established. Peak cTnI was observed in both groups Time, reperfusion, treatment - balloon dilation time, cardiovascular events during hospitalization. Results The peak time of cTnI in group A was significantly higher than that in group B (P <0.05). The time of referral and treatment of patients with cTnI in group A was shorter than that in patients with balloon dilatation and early reperfusion. The incidence of cardiovascular events during hospitalization in group A was lower than that in group B (11.9% vs.17.6%) (P <0.05). Conclusions The use of mobile phone micro channel group, the establishment of a regional AMI emergency network, can quickly diagnose and rescue AMI, AMI emergency treatment process optimization, shorten the first diagnosis - balloon dilation time and improve patient prognosis.